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NPI Code Detail

MEDICARE: MS. KIMBERLY ANNE WENDT M.S., C.G.C.

MEDICARE:  MS. KIMBERLY ANNE WENDT  M.S., C.G.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1326027285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY ANNE WENDT M.S., C.G.C.
Provider Business Mailing Address
First Line : 4580 ELECTRONICS PL
Second Line : SCPMG GENETIC TESTING
City : LOS ANGELES
State : CA
Zip : 90039-1008
Country : US
Telephone Number : 818-502-5959
Fax Number : 818-502-5921
Provider Business Practice Location Address
First Line : 4580 ELECTRONICS PL
Second Line : SCPMG GENETIC TESTING
City : LOS ANGELES
State : CA
Zip : 90039-1008
Country : US
Telephone Number : 818-502-5959
Fax Number : 818-502-5921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 12/30/2021

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Directions to “ MS. KIMBERLY ANNE WENDT M.S., C.G.C.” Practice Location

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